HomeMy WebLinkAboutCampaign Finance Records - Finance report - Committee to Elect Jamie Aldama - 1/24/2014POLITICAL
OF -
CAMPAIGN FINANCE REPORT
1 Jamie Aldama
Full Name of Committee
7329 N68th Dr
Address
Glendale 85303 Maricopa 623-206-7867
City 'LIP Code County Phone
2. Jamie Aldama Glendale City Council -Ocotillo District
Sponsoring Organization or Candidate and office
Jamie Aldama Glendale City Council -Ocotillo District
Nam of Candidate and Office Sought (if applicable)
efectaidama@g maif.com
4. REPORTING PERIOD (Please check appropriate box)
3A. IN
13-04
FOR (QlT1E US"E)R K
CITY OF GLENDALE
2014 JAN 24 AM 60: 2
DUE BETWEEN
January 31 Report . For Period of 10-7-2013 * thru December 31, 2013, January 1, 2014 and January 31, 2014
June 30 Report - For Period of January 1, 2014 thru May 31, 2014.June 1, 2014 and June 30, 2014
.................................................
Pre -Primary Election Report - For Period of June 1, 2014 thru August 14, 2014. August 15, 2014 and August 22, 2014
1 1 post -Primary Election Report - For Period of August 15, 2014 thru September 15, 2014. September 16, 2014 and September 25, 2014
Pre -General Election Report - For Period of September 16, 2014 that October 23, 2014. October 24, 2014 and October 31, 2014
Post -General Election Report - For Period of October 24, 2014 thru November 24, 2014......... ...... November 25, 2014 and December 4, 2014
.....
**January 31 , Report - For Period of November 25, 2014 thru December 31, 2015. January 1, 2016 and January 31, 2016
5. SUMMARY
Column A
Total This Reporting
Column B
Election Period
Period
Total To Date
0
5a Surplus from Previous Campaign (or at time Statement of Organization was
filed for the new committee)
5b Cash on Hand at the Beginning of this Reporting Period
0
5c Total Receipts (from corresponding columns on Detailed
Summary Page, Line 8)
$150-00
$150.00
$150.00
1 ®,®V
5d Subtotal [add Lines b and c for Column A and add lines
a and c for Column B]
6a Total Debts and Obligations from Previous Campaign Committee at
Beginning of this Election Period (or at time Statement of Organization was
filed for the new committee) [Do not add or subtract this line from the other
lines]
11. 7
11 . /'j
2
6b Total Disbursements (from corresponding columns on
Detailed Summary Page, Line 18)
$138.28
$133.23
7. Cash on Hand at Close of Reporting Period [Subtract
Line 6b from Line 5d
*Insert date which is 21 days after date of last election (A.R.S.
**Other reports will be due before this reporting period if a special or recall election is held prior to the next general election.
Revised 9/13
6 N 11R A
11
M N
1. Committee Name: ('ammitteet(t F.r I�rt l,.a[�j� A,fd.gmn
3. Report covering period from 10-7-2014 7hru a q_20q
RECEIPTS
4. Contributions other than loans and in-kind:
(a) Individuals - more than $50 (Total from Schedule A)
(b) Individuals - aggregate $50 or less (Total from Schedule A-1)
(c) Political Committees (Total from Schedule B)
(d) Subtotal Contributions [add 4(a), 4(b), and 4(c)]
(e) Refund of contributions (Total from Schedule F-2)
(f) Total Contributions Other than Loans and In-kind [subtract 4(e) from 4(d)]
5. (a) Loans made or guaranteed by candidate (Total from Schedule C)
(b) All other loans (Total from Schedule C-1)
(c) Total Loans [add 5(a) and 5(b)]
6. in-kind contributions (Total from Schedule E)
7. Dividends, interest, and other forms of receipts (Total from Schedule F-1)
8. Total Receipts [add 4(f), 5(c), 6, and 7]
DISBURSEMENTS
Page 2
2. ID#
13-04
COLUMN A
THIS PERIOD
COLUMN 8
CAMPAIGN TO DATE
1$100.001$100.00
9. Expenditures for operating expenses (Total from Schedule D) 1$11.72 $11.72
10. Independent Expenditures (Total from Schedule D� 1)
11. Value of In-kind expenditures (Total from Schedule E)
12. Loans made by reporting committee (Total from Schedule 0-2)
13. (a) Repayment of loans made or guaranteed by candidate (Total from Schedule D-4)
(b) Repayment of all other loans (Total from Schedule D-5)
(c) Total Loan Repayments [add 13(a) and 13(b)]
14. Transfers to other political committees (Total from Schedule D-6)
15. Any other disbursement (Total from Schedule 0-7)
16. Subtotal disbursements [add lines 9, 10, 11, 12,13(c), 14, and 15] $11.72 $11,72
17. Rebates, refunds and other offsets to operating expenses (Total from Schedule 0-3)
18. Total disbursements [subtract line 17 from line 161 $11.72 $11.72
19. Total Outstanding Debts owed by Reporting Candidate or Political Committee (Schedule F-3)
20. 1 certify, under penalty of perjury, that 1 h xa ined the contents of this campaign finance report and to the best of my knowledge and belief it is true and
complete.
Jamie Aidama
Type or print Name of Tre Ter
1/24/2014
Signature of T easurer or Candidate or Designating Individual Date
1. Committee Name Committee to Elect Jamie Aldama
3. Report covering period from 10/7/2013 thru 12/31/2013
SCHEDULE
2. ID #
13-04
4
CONTRIBUTIONS
DATE
RECEIVED
AMOUNT
RECEIVED
THIS
PERIOD
CUMULATIVE
TOTAL THIS
CAMPAIGN
TO DATE
NAME, ADDRESS, OCCUPATION AND EMPLOYER OR CONTRIBUTOR
4a.
LAST FIRST MI
Seese Edward M
10/31/13
$100.00
$100.00
STREET ADDRESS
10629 W Coggins Or
CITY STATE ZIP
Suncity AZ 85351
OCCUPATION
Coach
WePtiOrey9
(�
b.
LAST FIRST MI
STREET ADDRESS
CITY STATE ZIP
OCCUPATION EMPLOYER
C.
LAST FIRST MI
STREET ADDRESS
CITY STATE ZIP
OCCUPATION EMPLOYER
d.
LAST FIRST MI
STREET ADDRESS
CITY STATE ZIP
OCCUPATION EMPLOYER
e.
LAST FIRST MI
STREET ADDRESS
CITY STATE ZIP
OCCUPATION
EMPLOYER
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE A [If last page of Schedule A, transfer total to Detailed
Summary Page Line 4(z), Column A]
$100.00
$100.00
If contributions of $50 or less are listed with contributors name, address, occupation and employer on Schedule A, do not include
them on Schedule A-1.
Page of
Committee to Elect Jamie Aldama
Committee Name
SCHEDULE A-1
2. lD# 13-04
3. Report covering period from 1017/2013 thru 12/31/2013
DESCRIPTION
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE
TOTAL THIS CAMPAIGN TO DATE
Jamie Aldama
$25.00
$25.00
George Garcia
$25.00
$25.00
5. TOTAL THIS PERIOD [Transfer total to Detailed Summary Page, Line 4(b),
$50.00
6. CUMMULATIVE TOTAL THIS
$50.00
Column A]
CAMPAIGN TO DATE
[Transfer total to Detailed
Summary Page, Line 4(b),
Column BI
1f contributions of $50 or less are listed with contributor's name and address on Schedule A, do not include them on this schedule.
ii 1 671 9jTjjff Wpm
1. Committee Name
3. Report covering period from
2. ID #
4 CONTRIBUTIONS
AMOUNT
RECEIVED
THIS
PERIOD
CUMULATIVE
TOTAL THIS
CAMPAIGN TO
DATE
IDENTITY OF CONTRIBUTOR AND DATE RECEIVED
4a ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVE
b. ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
C. ID #
NAME, DRESS, CITY, STATE AND ZIP
DATE RECEIVED
d. ID #
NAME, ADDRESS, Cl STATE AND ZIP
DATE RECEIVED
e. ID #
NAME, ADDRESS, CITY, STATE ANZIP
DATE RECEIVED
f. ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
g. ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
h. ID #
NAME, ADDRESS, CITY, STATEAND ZIP
DATE RECEIVED
i. ID #
NAME, ADDRESS, CITY, STATE AND ZIP
DATE RECEIVED
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE B [If last page of Schedule B, transfer total to
Detailed Summary Page, Line 4(c), Column A]
Schedule B Page of
CANDIDATE LOANS
SCHEDULE
1.
Committee Name
2. ID #
3.
R port covering period from thru
4.
LOA S MADE OR GUARANTEED BY CANDIDATE
DATE
RECEIVED
AMOUNT
RECEIVED
CUMULATIVE
TOTAL THIS
CAMPAIGN
TO DATE
NAME AND ADDRESS FROM WHOM RECEIVED
4a.
NAME, ADDRE , CITY, STATE, AND ZIP
DESCRIPTION
b.
NAME, ADDRESS, CITY, STATE, A ZIP
DESCRIPTION
C.
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION
d.
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION
e.
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION
f.
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION
5.
ENTER TOTAL OF LOANS MADE OR GUARANTEED BY CANDIDATE ONLY IF LAST PAGE OF SCHEDULE C
[If last page of Schedule C, transfer total to Detailed Summary Page, Line 5(a), Column A]
Schedule C
Committee Name
3. Repo\111ering period from
SCHEDULE C1
4
ALL OTHER LOANS
CUMULATIVE
DATE
AMOUNT
TOTAL THIS
NAME AND AD ESS OF EACH INDIVIDUAL (OR NAME, ID# AND ADDRESS OF
LOAN RECEIVED
OF LOAN
CAMPAIGN
THE POLITICAL MMITTEE) OR LOAN, AND ANY ENDORSER OR GUARANTOR
TO DATE
OF LOAN.
4a
NAME OF PERSON OR COM TEE MAKING LOAN, ADDRESS, C11 Y, STATE, ZIP, AND ID#
NAME OF ENDORSER OR GUARANTOR OF AN, ADDRESS, CITY, STATE, ZIP, AND ID#
DESCRIPTION
4b
NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, TY, STATE, ZIP, AND ID#
NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, R. ,AND ID#
DESCRIPTION
4C
NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
-
DESCRIPTION
4d
NAME OF PERSON OR COMMITTEE MAKING LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
NAME OF ENDORSER OR GUARANTOR OF LOAN, ADDRESS, CITY, STATE, ZIP, AND ID#
DESCRIPTION
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE C-1 [If last page of Schedule C-1, transfer total to Detailed Summary
Page, Line 5(a), Column A]
1. Committee Name Committee to Elect Jamie Aldama
3. Report covering period from 10/7./2013
ffilu 12/3112013
2. ID#
4
EXPENDITURES
DATE
EXPENDITURE
AMOUNT
OF THE
NAME AND ADDRESS TO WHOM EXPENDITURE (DISBURSEMENT) WAS MADE
MADE
EXPENDITURE
4a.
NAME, ADDRESS, CITY, STATE AND ZIP
City of Glendale Clerk's Office.
10/17/13
$10-00
5850 W Glendale Ave, Glendale AZ 85301
ff 6PT,1ON QF IT VM OR S6RVICES PURCHASED
c District.
b.
NAME, ADDRESS, CITY, STATE AND ZIP
FedEx-
10/21/13
$1.72
9494 W Northern Ave Glendale AZ85305
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
FAX
o.
NAME, ADDRESS, CITY, STATE AND ZIP
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
d,
NAME, ADDRESS, CITY, STATE AND ZIP
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
a.
NAME, ADDRESS, CITY, STATE AND ZIP
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
f.
NAME, ADDRESS, CITY, STATE AND ZIP
DESCRIPTION OF ITEMS OR SERVICES PURCHASED
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D /If last page of Schedule 1), transfer total to Detail Summary Page Line
9, Column A]
*Expenditures, other than a contract, promise or agreement to make an expenditure restating in credit
Page_ot__
SCHEDULE -1
2. ID#
1. Committee Name
V. Report covering period from
4
INDEPENDENT EXPENDITURES
DATE
AMOUNT
EXPENDITURE
OF THE
MADE
EXPENDITURE
IDEM- Y RECIPIENT OF EXPENDITURE AND CANDIDATE WHO IS BENEFITTED OR OPPOSED
4,1.
NAME, ADDR S, CITY, S"FATE AND ZIP
PURPOSE AND DESCRIPTION PURCHASE Benefitted® Opposed
CANDIDATE OFFICE SOUGHT YEAR OF ELECTION
4b.
NAME, ADDRESS, CITY, STATE AND ZIP
PURPOSE AND DESCRIPTION OF PURCHASE Benefi d ® Opposed
CANDIDATE OFFICE SOUGHT YEAR OF ELECTION
4c,
NAME, ADDRESS, CITY, STATE AND ZIP
PURPOSE AND DESCRIPTION OF PURCHASE Benefitted 0 Opposed
CANDIDATE OFFICE SOUGHT YEA OF ELECTION
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-1 (If last page of Schedule D-1, transfer al to Detailed Summary Page Line 10, Column A)
'SEE A.R.S. § 16-901(14).
I certify, under pently of perjury, that the above stated independent expenditure(s) was not m
request or suggestion of any candidate or any campaign committee or agent of that candid
Signature of Treasurer
NAMES, OCCUPATIONS AND EMPLOYERS AND AMOUNT CONTRIBUTED BY EACH OF THE THREE TOP
SIX MONTHS
in cooperation, consultation or concert with or at the
WITHIN THE LAST I AMOUNT
D-1 Page_of
1. Committee Name
\ Rannrt cnverinO Deriod from
th ru
SCHEDULE -2
2. ID #
4
LOANS MADE BY THE REPORTING COMMITTEE
DATE
LOAN MADE
AMOUNT
OF THE LOAN
NAME, DDRESS AND ID# OF COMMITTEE TO WHOM LOAN (DISBURSEMENT) WAS MADE
4a.
NAME, ADD: SS, CITY, STATE, ZIP, AND ID#
b.
NAME, ADDRESS, CITY, TATE, ZIP, AND ID#
a
NAME, ADDRESS, CITY, STATE, P, AND ID#
d.
NAME, ADDRESS, CITY, STATE, ZIP, AND #
e.
NAME, ADDRESS, CITY, STATE, ZIP, AND ID#
f.
NAME, ADDRESS, CITY, STATE, ZIP, AND ID#
g.
NAME, ADDRESS, CITY, STATE, ZIP, AND ID#
h.
NAME, ADDRESS, CITY, STATE, ZIP, AND ID#
i.
NAME, ADDRESS, CITY, STATE, ZIP, AND ID#
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-2 [Transfertotal to Detail Summary Page Line 12, Colu n AJ
4a.
1. Committee Name
3.R ort covering period from
th
2. ID #
SCHEDULE D-3
REBATES, REFUNDS AND OTHER OFFSETS TO OPERATING EXPENSES
DATE
REFUND
RECEIVED
AMOUNT
OF THE
REFUND
AME AND ADDRESS FROM WHOM REFUND OR REBATE WAS RECEIVED
NAME, ADDRESS, CO,STATE, AND ZIP
DESCRIPTION OF REFUND
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION OF REFUND
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION OF REFUND
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION OF REFUND
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION OF REFUND
NAME, ADDRESS, CITY, STATE, AND ZIP
DESCRIPTION OF REFUND
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-3 [If last page of Schedule D-3, transfer total to Detailed Summary Page
Line 17 Column A]
Includes return of contributions made by reporting committee
4a.
2. ID#
C mmittee Name
Repot covering period from
SCHEDULE D-4
REPAYMENT OF LOANS MADE OR GUARANTEED BY CANDIDATE
DATE
REPAYMENT
MADE
AMOUNT
OFTHE
REPAYMENT
N1\E AND ADDRESS TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE
NAME, ADDRESS, CITY, S-", TE, AND ZIP
NAME, ADDRESS, CITY, STATE, AND ZIP
NAME, ADDRESS, CITY, STATE, AND ZIP
NAME, ADDRESS, CITY, STATE, AND ZIP
NAME, ADDRESS, CITY, STATE, AND ZIP
NAME, ADDRESS, CITY, STATE, AND ZIP
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-4 [Transfer total to Detail Summary Page, Line 13(a), Column A)
S&
TEPAYMENT OF ALL OTHER LOANS SCWEDULE AM
2, ID #
1. Committee Name
Xport covering period from
4
REPAYMENT OF ALL OTHER LOANS
DATE
REPAYMENT
MADE
AMOUNT
OFTHE
REPAYMENT
NAME AN ADDRESS OF INDIVIDUAL (OR NAME, ID# AND ADDRESS OF THE POLITICAL COMMITTEE)
TO WHOM REPAYMENT (DISBURSEMENT) WAS MADE
4a.
NAME, ADDRESS, C Y, STATE, ZIP AND ID#
b.
NAME, ADDRESS, CITY, STATE, ZIP AN ID#E
C.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
f.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
5.
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-5 [Transfer total to Detailed Summary Page, Line 13(b), Column A]
., 0
2. ID #
Committee Name
Rep t covering period from
SCHEDULE -6
4
TRANSFERS MADE BY THE REPORTING COMMITTEE
DATE TRANSFER
MADE
AMOUNT OF THE
TRANSFER
NAME AND DRESS OF INDIVIDUAL (OR NAME, ID# AND ADDRESS OF THE POLITICAL
COMMITTEE)
O WHOM REPAYMENT (DISBURSEMENT) WAS MADE
4a.
NAME, ADDRESS, CITY, STA ZIP AND ID#
b.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
C.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
f.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-6 [Transfer total to Detailed Summary Page, Line 14, Column A]
1. Committee Name
3. Rbj oZt covering period from
SCHEDULE D-7
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A]
ANY OTHER DISBURSEMENTS
DATE
DISBURSEMENT
MADE
AMOUNT
OF THE
DISBURSEMENT
NAME, ADDRESS AND ID# OF COMMITTEE TO WHOM
DISBURSEMENT WAS MADE; DESCRIPTION
a.
NAME, ADDRESS, CITY, S TE, ZIP AND ID#
DESCRIPTION
b.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
c.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
d.
NAME, ADDRESS, CITY, STATE, ZIP AND Off
DESCRIPTION
e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE D-7 [Transfer total to Detailed Summary Page Line 15 Column A]
M -KIND CONTRIBUTIONS • EXPENDITURES
1. Committee Name
3. Report coverinq period from
2. yID#
4
IN-KIND CONTRIBUTIONS and EXPENDITURES
DATE
FAIR
MARKET VALUE
)NAME AND ADDRESS OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE
OLITICAL COMMITTEE) FROM WHOM RECEIVED OR TO WHOM GIVEN
4a.
NAME, ADDRESS, CIT STATE, ZIP AND ID#
CONTRIBUTION
EXPENDITURE
DESCRIPTION
OCCUPATION EMPLOYER
b.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
CONTRIBUTION ° °
EXPENDITURE ° °
DESCRIPTION
OCCUPATION EMPLOY
c.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
CONTRIBUTION
EXPENDITURE
DESCRIPTION
OCCUPATION EMPLOYER
d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
CONTRIBUTION' °
EXPENDITURE
DESCRIPTION
OCCUPATION EMPLOYER
5.
ENTER TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E [If last page of Schedule E, transfer total to Det aile ummary Page
Line 6, Column A]
6.
ENTER TOTAL IN-KIND CONTRIBUTIONS ONLY IF LAST PAGE OF SCHEDULE E [if last page of Schedule E, transfer total to Detailed Summa age
Line 11, Column A]
2. ID#
1.
Committee Name
3covering period from
SCHEDULE F-1
4
DIVIDENDS, INTEREST AND OTHER FORMS OF RECEIPTS
DATE
AMOUNT
RECEIVED
AMOUNT
OF THE
RECEIPT
NAME A D ADDRESS FROM INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL
COMMITTEE) FROM WHOM RECEIPT WAS RECEIVED
4a,
NAME, ADDRESS, CITY, 7 -ATE, ZIP AND ID#
DESCRIPTION OF RECEIPT
b.
NAME, ADDRESS, CITY, STATE, ZIP AN ID#
DESCRIPTION OF RECEIPT
C.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF RECEIPT
d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF RECEIPT
e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF RECEIPT
f.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF RECEIPT
5. ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-1 (Iflast page of Schedule F-1, transfer total to Detailed Summary Page
Line 7 Column A
Com\tt-,,N.me
Repoing period
from
2. ID #
SCHEDULE F-2
4
R UNDS AND OTHER OFFSETS TO CONTRIBUTIONS RECEIVED
DATE
REFUND
MADE
AMOUNT
OF THE
REFUND
NAME AND ADDRES OF INDIVIDUAL (OR NAME, ADDRESS AND ID# OF THE POLITICAL COMMITTEE)
TO WHOM REFUND WAS MADE
a.
NAME, ADDRESS, CITY, STATE, IP AND ID#
I
DESCRIPTION OF REFUND I \- :I
b.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
C.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
f.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF REFUND
ENTER TOTAL ONLY IF LAST PAGE OF SCHEDULE F-2 [If last page of Schedule F-2, transfer total to Detailed Summary Page, Line 4(E), Column AJ
Includes return of contributions received by reporting committee
1. Committee Name
1
3. Rewrfloverina Deriod from
thrU
SCHEDULE F-
2. ID # I
4
D11kTS AND OBLIGATIONS
OUTSTANDING
BALANCE
BEGINNING
THIS PERIOD
AMOUNT INCURRED
THIS PERIOD
PAYMENT THIS
PERIOD
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
NAME AND ADD =SS OF INDIVIDUAL (OR NAME,
ADDRESS AN ID# OF THE POLITICAL
COMMITTEE) TNWHOM DEBT IS OWED
a.
NAME, ADDRESS, CITY, TATE, ZIP AND ID#
DESCRIPTION OF DEBT
b.
NAME, ADDRESS, CITY, STATE, ZIP AND I'\\
DESCRIPTION OF DEBT
c.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF DEBT
d.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF DEBT
e.
NAME, ADDRESS, CITY, STATE, ZIP AND ID#
DESCRIPTION OF DEBT
5.
ENTER TOTAL OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD ONLY IF LAST PAGE OF SCHEDULE
F-3 [Transfer total to Detail Summary Page Line 19, Column A]